189874 09/14/2010 CITY OF CARMEL, INDIANA VENDOR: 362651 Page 1 of 1
ONE CIVIC SQUARE KONICA LEASING A PROGRAM OF DE LL�����
O LANDEN FINANCIAL SERVICES CHECK AMOUNT: $61.00
CARMEL, INDIANA 46032
PO BOX 41602 CHECK NUMBER: 189874
PHILADELPHIA PA 19101 -1602
CHECK DATE: 9/14/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4353004 6955434 61.00 COPIER
Keep lower portion for your records —Please return upper portion with your payment
KON1CA LEASING A PROGRAM OF DE 08/21/2010 6955434 073898
LAGE LANDEN FINANCIAL SERVICES
PO BOX 41602
PHILADELPHIA PA 19101 -1602 Peno of P eiformance r C ontract Number,'„ I
0811512010- 09/14/2010 25021065
Important Messages
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reach you 5 days faster keeping your business on track. Please call 800 -736 -0220 to sign up today!
If this is your first invoice, it ma y in interim rent or prior period rentals in the payment amount.
See Reverse for Important Information
Invoice Deta11S t:,w�
I.-_.__. E..�
Description w »Pa ment Amount :Sal
es1Use Tax TotafAmount
PAYMENT $61.00 $0.00 $61.00
LATE FEE $4.00 $0.00 $4.00
Billed-,:' Invoice 00
$65
Balance °Due =for P riior Billed Invoice`s`" $77.100
T o L�I'�
(Please see the following pages for details.}
Asset Details E e b
11Aa kel Model Se�iaP Number .Asset Number',t, .Contract Number Payment AmaunY- SaleslUse Tax` ;j ,.Total Amount
KONMINIC20 OFD0130029 25021065_1 25021065 $61.0 $0.0 561.0
4
sset Location: 1 CIVIC So CARMEL HAMILTON IN 46032 -7569 United States
IrVIPORTANT REMINDER: Enclose rer-1lttauCe Slip With yOX check and send itto thie address, oi') ievter-�e
side to enaunaaucunate and Ume|y processing 0i your payment, For prompt reviewand handling, please
send other correspondence and notices separately to the attention of" Cuslorrier Service KC-)NICA LEASING
A PROGRAM OF UE LAGE LANDEN FINANCIAL SERVICES 1 111 OLD EAGLE SCHOOL RE).VVAYNE,
PA, 19087-1451
For general ac, day. 7 days aweek.viak our
wehei�esxmw�evnee�irecLc�n
Please remit payments at least 5 business days prior to due date,
Please bu sure to record your Invoice or Account Number nn the check.
Explanation of Ch
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Correspondence Add
OLD EAGLES;CHOOL RD, VVAYWE.PA1A087'i453or call: 80U-73G-022O
Plomyesen6aUvvrit1enenquireo\uiheeddressinoiowkadahova.P|eamydonntsendcheoksto1h�uddnaxs
00025570/00042037
Account Statement
Invoice Number Due Date Amount Invoiced Balance Due
5362396 0411512010 $65.00 $4.00
5802278 05115/2010 $65.00 $4.00
6028682 06/1512010 $65.00 $4.00
6691149 08/1512010 $65.00 $65.00
Balance Due for Prior Billed Invoices $77.00
Late fee and Finance Charge Details
Past Due Past Due Past Due Past Due, Past Due Late Fee Finance Charge
Invoice Number Invoice Invoice Due Invoice Balance Invoice Payment
Description Date Subject to Late Date
Charge l
6691149 08/15/2010 61.00 4.00
VOUCHER NO. WARRANT NO.
ALLOWED 20
Konica Leasing A Program of De Lage
IN SUM OF
Landen Financial Service, P. O. Box 41602
Philadelphia, PA 19101 -1602
$61.00
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO Dept. INVOICE NO. ACCT #/TITLE AMOUNT
Board Members
1160 6955434 43- 530.04 $64.00 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Monday, September 13, 2010
ayor
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by Stale Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
08/21/10 6955434 $61.00
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have.audited same in accordance
with IC 5- 11- 10 -1.6
,20
Clerk- Treasurer